A 29-year-old primigravida at 33 weeks gestation has blood pressure 162/106 mmHg, 3+ proteinuria and headache with visual disturbance. Fetal movements...

Question

A 29-year-old primigravida at 33 weeks gestation has blood pressure 162/106 mmHg, 3+ proteinuria and headache with visual disturbance. Fetal movements are present. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, commence IV antihypertensives and magnesium sulphate

Answer

Discharge with oral labetalol and review in 1 week

Answer

No treatment as blood pressure changes are normal in late pregnancy

Answer

Start aspirin only

Answer

Delay treatment until 37 weeks for planned induction

au-acem MCQ (SBA): Pre-eclampsia severe features magnesium

A 29-year-old primigravida at 33 weeks gestation has blood pressure 162/106 mmHg, 3+ proteinuria and headache with visual disturbance. Fetal movements are present. What is the most appropriate immediate management?